Kourtney Brooke Meinhardt

Individual provider Active NPI Occupational Therapy Assistant · Kahoka, MO

NPI 1366076929 · NPPES record last updated Oct 13, 2023

Key facts

NPI
1366076929
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
120 S Johnson St
Kahoka, MO 63445-1657
Phone
(660) 342-8351
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

120 S Johnson St
Kahoka, MO 63445-1657

Mailing address

18699 County Road 249
Kahoka, MO 63445-2138
Phone (660) 342-8351

Other providers in Kahoka, MO

All providers in Kahoka, MO · Occupational Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.